Naughton et al developed a score for describing the severity of nursing home-acquired pneumonia (NHAP). This can help identify patients who required more aggressive management and closer monitoring. The authors are from State University of New York at Buffalo, Buffalo General Hospital and Erie County Medical Center in Buffalo.
Parameters:
(1) respiratory rate
(2) heart rate
(3) mental status
(4) history of dementia
|
Parameter |
Finding |
Points |
|
respiratory rate |
<= 30 breaths per minute |
0 |
|
|
> 30 breaths per minute |
2 |
|
heart rate |
<= 125 beats per minute |
0 |
|
|
> 125 beats per minute |
1 |
|
mental status |
normal |
0 |
|
|
altered |
1 |
|
history of dementia |
no |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the greater the mortality rate.
|
Score |
Risk Group |
|
0 or 1 |
low risk |
|
2 |
intermediate risk |
|
3, 4 or 5 |
high risk |
The probability of 30 day mortality can be predicted if the prepneumonia Katz Activities of Daily Living (ADL) score is known (see 37.05.05):
|
Score |
ADL <= 10 |
ADL 11-15 |
ADL >= 16 |
|
0 |
0% |
8% |
10% |
|
1 |
0% |
7% |
15% |
|
2 |
29% |
33% |
21% |
|
3 |
NA |
22% |
40% |
|
4 |
NA |
57% |
56% |
|
5 |
NA |
NA |
75% |
after Table 8, page 1297
Specialty: Infectious Diseases, Pulmonology
ICD-10: ,
